Mail In Membership Information Form for ScissorVixens.com Member Site

**The fields below are editable so please TYPE in your information and then print this form.**
 
 

DISCLAIMER
By completing this form, I certify that I am at least 18 years old. I am aware that you are providing me with ADULT oriented material which is only for my use and will not be resold or in any way be redistributed, especially to minors.
 
 

Choose Payment Method (please put an 'X' next to your choice)

**Personal checks ARE NOT acceptable and will be returned if mailed to us.**

We will accept guaranteed funds only as listed below.

(US currency only.  Certified checks and Money Orders must be US Banks only.)

Make certified bank checks and money orders payable to: Drew Entertainment LLC

 
Cash           Certified Bank Check                 Money Order          
 
 
 

Choose Membership Term (please put an 'X' next to your choice)
 

30 days (1 month) at $24.95

 

90 days (3 months) at $59.85

 

180 days (6 months) at $119.70

 
 
 

Required Membership Information
 

Important!

Due to difficulties we have experienced with trying to respond to certain e-mail addresses (such as AOL) please include a valid phone number we can reach you at so we can notify you, in the event we are unable to do so via your e-mail address, when your membership has been activated.

 
If you do not want to provide a valid phone number and you are an AOL user (or have an AOL e-mail address) we strongly advise you to then create an alternate e-mail account (Gmail, Yahoo, etc.) other than AOL so that we can reach you via e-mail.

 
Valid Phone Number (*see above message*)
   
Valid E-Mail Address:
   
Choose a Username (6 characters minimum):
   
Choose a Password (6 characters minimum):
   
 

After completing the above form please e-mail us at: accounts@vixensfetishtheater.com for further instructions!